Organization Active NPI

Safety Medical Transport Inc

  • Driver
  • El Centro, CA
National Provider Identifier
1942794938
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
F4704795 Issued in CA
Legal business name
SAFETY MEDICAL TRANSPORT INC
Practice address
1480 S Imperial Ave
El Centro, CA 92243-4200
Phone
(760) 455-1706
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juan Luis Cordova, DRIVERNPI 1043704034
Title
President
Phone
(760) 455-1706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 172A00000X F4704795 CA Primary

Addresses

Primary practice location

1480 S Imperial Ave
El Centro, CA 92243-4200

Mailing address

1480 S Imperial Ave
El Centro, CA 92243-4200
Phone (760) 455-1706

Other identifiers 1

IdentifierTypeStateIssuer
F4704795OtherCANON- EMERGENCY TRANSPORT

National Provider Directory

National Provider Directory

Locations

1480 S Imperial Ave
El Centro, CA 92243
Phone (760) 455-1706

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1942794938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434200",
            "telephone_number": "760-455-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434200",
            "telephone_number": "760-455-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFETY MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-455-1706",
        "authorized_official_credential": "DRIVER"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "CA",
            "license": "F4704795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON- EMERGENCY TRANSPORT",
            "identifier": "F4704795",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.